39D0898741 CLIA NUMBER - PENN PRESBYTERIAN MEDICAL ASSO

Laboratory Demographics

  • CLIA Code: 39D0898741
  • Facility Name: PENN PRESBYTERIAN MEDICAL ASSO
  • Facility Address: 3801 FILBERT STREET MAB SUITE 212
    PHILADELPHIA, PA
    ZIP 19104
  • Facility Phone: 215 662-8978
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. WESLEY W. BUTT
  • NPI Number: 1760624944
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 39D0898741
LAB Type Physician Office
Facility Name PENN PRESBYTERIAN MEDICAL ASSO
Street 3801 FILBERT STREET MAB SUITE 212
City PHILADELPHIA
State PA
ZIP 19104
Phone 215 662-8978
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2024
Certificate Expiration Date 4/1/2026
Facility Type Physician Office
Lab Director DR. WESLEY W. BUTT

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This page was last updated on: 9/29/2025